NSG 6420 WEEK 8 QUIZ
1.
Which of the following best describes the pain associated with osteoarthritis?
Constant, burning, and throbbing with an acute onset
Dull and primarily affected by exposure to cold and barometric pressure
Begins upon arising and after prolonged weight bearing and/or use of the
joint
Begins in the morning and limits continued ambulation
2.
Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will
begin treatment with corticosteroids until the condition has resolved. You look
over her records and it has been 2 years since her last physical examination and
any laboratory or diagnostic tests as she relocated and had not yet identified a
health-care provider. In prioritizing your management plan, your first orders
should include:
Recommending she increase her dietary intake of Calcium and Vitamin D
Ordering once a year bisphosphonate and a proton pump inhibitor
Participate in a fall prevention program
Dual-energy X-ray (DEXA) scan and updating immunizations
3.
In providing health teaching related to dietary restrictions, the nurse practitioner
should advise a patient with gout to avoid which of the following dietary items:
Green leafy vegetables
Beer, sausage, fried seafood
Sugar
Gluten and bread items
4.
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in
multiple joints of the body. There is no history of systemic disease and no history
of trauma.
Osteoarthritis
Rheumatoid arthritis
Fibromyalgia
Polymyalgia rheumatica
5.
A 46-year-old female complains of fatigue, general malaise, and pain and swelling
in her hands that has gradually worsened over the last few weeks. She reports that
, pain, stiffness, and swelling of her hands are most severe in the morning. On
physical examination, you note swelling of the metacarpophalangeal joints
bilaterally. These are common signs of:
Osteoarthritis
Rheumatoid arthritis
Scleroderma
Sarcoidosis
6.
Which of the following statements about osteoarthritis is true?
It affects primarily weight-bearing joints
It is a systemic inflammatory illness
The metacarpal phalangeal joints are commonly involved
Prolonged morning stiffness is common
7.
The most appropriate first-line treatment for an acute gout flare is (assuming no
kidney disease or elevated bleeding risk):
A. Indomethacin 50 mg TID for 2 days; then 25 mg TID for 3 days
B. Doxycycline 100 mg BID for 5 days
C. Prednisolone 35 mg QD for 5 days
D. Ice therapy
8.
34-year-old female presents with fever, general malaise, fatigue, arthralgias and
rash for the last 2 weeks. On physical examination, you note facial erythema across
the nose and cheeks. Serum diagnostic tests reveal positive antinuclear antibodies,
anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation
rate. The clinician should include the following disorder in the list of potential
problem
Fibromyalgia
Sarcoidosis
Systemic lupus
erythematosus
Rheumatoid arthritis
9.
Your 66-year-old male patient has recently started treatment for metabolic
syndrome and is currently taking the following medications: an ACE inhibitor and
beta blocker for treatment of hypertension. He is also taking a statin medication,
simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2 diabetes.
1.
Which of the following best describes the pain associated with osteoarthritis?
Constant, burning, and throbbing with an acute onset
Dull and primarily affected by exposure to cold and barometric pressure
Begins upon arising and after prolonged weight bearing and/or use of the
joint
Begins in the morning and limits continued ambulation
2.
Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will
begin treatment with corticosteroids until the condition has resolved. You look
over her records and it has been 2 years since her last physical examination and
any laboratory or diagnostic tests as she relocated and had not yet identified a
health-care provider. In prioritizing your management plan, your first orders
should include:
Recommending she increase her dietary intake of Calcium and Vitamin D
Ordering once a year bisphosphonate and a proton pump inhibitor
Participate in a fall prevention program
Dual-energy X-ray (DEXA) scan and updating immunizations
3.
In providing health teaching related to dietary restrictions, the nurse practitioner
should advise a patient with gout to avoid which of the following dietary items:
Green leafy vegetables
Beer, sausage, fried seafood
Sugar
Gluten and bread items
4.
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in
multiple joints of the body. There is no history of systemic disease and no history
of trauma.
Osteoarthritis
Rheumatoid arthritis
Fibromyalgia
Polymyalgia rheumatica
5.
A 46-year-old female complains of fatigue, general malaise, and pain and swelling
in her hands that has gradually worsened over the last few weeks. She reports that
, pain, stiffness, and swelling of her hands are most severe in the morning. On
physical examination, you note swelling of the metacarpophalangeal joints
bilaterally. These are common signs of:
Osteoarthritis
Rheumatoid arthritis
Scleroderma
Sarcoidosis
6.
Which of the following statements about osteoarthritis is true?
It affects primarily weight-bearing joints
It is a systemic inflammatory illness
The metacarpal phalangeal joints are commonly involved
Prolonged morning stiffness is common
7.
The most appropriate first-line treatment for an acute gout flare is (assuming no
kidney disease or elevated bleeding risk):
A. Indomethacin 50 mg TID for 2 days; then 25 mg TID for 3 days
B. Doxycycline 100 mg BID for 5 days
C. Prednisolone 35 mg QD for 5 days
D. Ice therapy
8.
34-year-old female presents with fever, general malaise, fatigue, arthralgias and
rash for the last 2 weeks. On physical examination, you note facial erythema across
the nose and cheeks. Serum diagnostic tests reveal positive antinuclear antibodies,
anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation
rate. The clinician should include the following disorder in the list of potential
problem
Fibromyalgia
Sarcoidosis
Systemic lupus
erythematosus
Rheumatoid arthritis
9.
Your 66-year-old male patient has recently started treatment for metabolic
syndrome and is currently taking the following medications: an ACE inhibitor and
beta blocker for treatment of hypertension. He is also taking a statin medication,
simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2 diabetes.
